Clinical symptoms are quite variable: Today the most commonly used classification is that of Todani et al. Choledochal cysts are a ve rare entity in our environment, with an incidence of one in every 2 million.

Recent advances in pathophysiology and surgical treatment congenital dilatation of the bile duct. Check out this article to learn more or contact your system administrator.

The cytopathological study of the material obtained showed abundant epithelial cellularity, which was atypical and generally arranged in three-dimensional clusters, variably cohesive and often adopting a papillaroid pattern.

This high probability of complications and malignant degeneration justifies surgery as elective treatment.

Diagnosis of choledochal cyst is established by imaging techniques. Check this box if you wish to receive a copy of your message. SRJ is a prestige metric based on the idea that not xe citations quoste the same. Send the link below via email or IM. The intrapancreatic choledochal cyst was revealed with a posterior wall intimately related to, but not infiltrating, the superior mesenteric vein.

Stringel G, Filler RM. Do you really want to delete this prezi? Metastatic disease must be ruled out quiwte, as well the absence of infiltration to important adjacent structures such as the portal vein, and surgery must be performed with a curative intention R0. In this report, we present two cases that clinically started with the aforementioned symptoms, and in which a diagnosis of congenital cystic dilatation of the common bile duct was finally established.

A Whipple cephalic duodenopancreatectomy was performed, which was incident-free. Choledochal cysts-differences in children and adults.

The microscopic study showed epithelium with a biliary coating and variable degrees of dysplasia biliary intraepithelial neoplasia, BilINoften a high degree BilIN 3.

The study was completed with a cholangio-NMR Fig. The thoracic-abdominal-pelvic CT extension study with i. Please log in to add your comment. A midline supra- and infraumbilical laparotomy was performed.

The Spanish Association of Pediatrics has as one of its main objectives the dissemination of rigorous and updated scientific information on the different areas of pediatrics. Additionally, stromal microinfiltration foci were observed.

Constrain to simple back and forward steps.

SJR uses a similar algorithm as the Google page rank; it provides a quantitative and qualitative measure of the journal’s impact. The most common site for development of the carcinoma is the wall of the cyst, although it can occur at any level of the biliary tree.

Case report A year-old woman with no previous history of interest was admitted to emergencies for symptoms of abdominal pain. However, other data related to the disease are accessible from cledoco Additional Information menu located on the right side of this page. Cancel Reply 0 characters used from the allowed.

Services of General Surgery and Digestive Diseases. Congenital choledochal cyst, with report of two, and analysis of 94 cases.

Todani choledochal cyst type II: case report and review.

In both cases a surgical operation was performed with resection of the dilated bile duct and restoring biliary-enteric continuity using a Roux-en-Y hepaticojejunostomy 5. Imaging tests revealed a solid-cystic lesion at the head of the pancreas communicating with the distal bile duct. No adenopathies or other signs of abdominal neoplastic spread were encountered during the operation.

Adults usually have less florid symptoms, which implies a late diagnosis 5. Creating downloadable prezi, be patient. Complete resection of the extrahepatic bile duct, together ciledoco cholecystectomy, considerably reduces the risk of neoplastic degeneration, which drops to 0. Summary and related texts.

Malignant transformation is the most serious complication and has a very poor prognosis for survival.